Individual provider · Type 1 NPI

Japhet Ikeazota

Licensed Practical Nurse · Washington, DC

NPI number 1538736780 Active

Practice location

1100 New Jersey Ave SE Ste 845
Washington, DC 20003-3338

Call (202) 545-6980 Map

Mailing address

4508 Broad Blvd
Beltsville, MD 20705-1515

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN1003100 (DC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1538736780

Japhet Ikeazota's National Provider Identifier is 1538736780, issued on Jun 7, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Washington, DC. The record was last updated on Jun 7, 2021.